Short Term Outcome Measures of Chromic Catgut Versus Vicryl Rapide for Episiotomy Repair
OBJECTIVE: To compare the short term outcome measures of chromic catgut versus vicryl rapide for episiotomy repair, in terms of frequency of perineal pain and wound dehiscence.
PLACE AND DURATION: This study was conducted in the Department of Obstetrics and Gynaecology Benazir Bhutto Hospital, Rawalpindi, during a period of six months from December 2014 to May 2015.
METHODOLOGY: Total 220 patients who fulfilled the inclusion criteria of study were included in the study. Patients were divided into two groups by lottery method.
In Group A episiotomies were sutured with chromic catgut 1-0 (30mm, ½ circle round bodied needle) and Group B with for vicryl rapide 1-0 (36mm, ½ circle round bodied needle). All the episiotomies were right mediolateral and sutured by residents on call. The repair was done according to departmental protocols and suture material used according to randomization.
The main outcome measures were perineal pain and wound dehiscence. Perineal pain within 48 hours assessed by visual analogue scale (VAS) and wound dehiscence was recorded within 3 weeks postpartum. Chi-square test was applied and results tabulated. P- Value <0.05 was taken as significant.
RESULTS: Among 220 total patients, majority of the patients between 21-30 years, seventy four percent (n=163) of patients were at gestational age of 31-40 weeks. Mostly patients were primigravidas 67.3% (n=148).
Perineal pain was recorded in 68.6% (n=151), the pain was mild in 45% (n=68), moderate in 36.4 %( n=55) and severe in 18.5% (n=28). (P-value=0.000) Wound dehiscence was found in 20% and 9.1% of Group A and B respectively. (P-value=0.034)
CONCLUSION: Vicryl rapide was the better suture material for episiotomy repair, which resulted in less perineal pain and better wound healing as compared to chromic catgut.
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